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90-101380 y� - �� t3� MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. 9O—ZSHHM OWNER'S NAME B�INE SWIESO JOB ADDRESS 3024 SW 3OO PL CONTRACTOR NW WATER HEATER ADDRESS $2O1 DURANGO ST SW TACOMA CONT. PHONE 984-6404 CONT. REG. NO. NORTAWH�.37ICaT ZZ�9O �ORbWNER'S PHONE 927-9620 OWNER'S ADDRESS SAMF TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER MECHANICAL TAX ACCOUNT NO. 41G71O—OZHS LEGAL DESCRIPTION NA issuE�ev ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 1 O�2�9O BUILDING INFORMATION �NE NA OCCUPANCY NA TYPE OF CONSTRUCTION ML'CHANICAI� BLDG. SQ. FT. NA SET BACKS: FAONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING_�FT. �Q� BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FUFNACE 1Q�IlIl AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. �Q MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE 20_00 DISHWASN`ERS TOTP.L FIXTURES NnNF. UNIT HEATER TOTAL MECHANICAL �� AMOUNT NONE NONE VALUATION GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD ECHANICAL FEE $3 8_5 0 OTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: PART P/C FEE SEPA REVIEW GAS PIPING OK Date By WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE �'%' ' _'-' OTHER FEES MECHANICAL PERMIT AMOUNT DUE $38.50 Account No. 010-000-322-10-004 Total Fee $ �R_ �� Receipt No. � ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIOENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATIO FURNISHED E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE •—`�_— � � OWNER OR AGENT � DATE � MECHANICAL PERMIT CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADO. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. S�. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPFESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS�iOT WATER HTR. MISC. RETUFNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTP.L FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION `p_n S 1 �// GAS PIPING TEST MUST BE WITNESSED BY INSPECTOR. AFFIDAVIT WILL NOT SUFFICE. PERMIT FEE / PLAN CHECK FEE PLUMBING FEE INSPECTION RECORD MECHANICAL FEE /�� pI/� / TOTAL BLDG. FEES Water Line OK Mechanical Inspection Notes: ��"'f�-L`1� ` Z - ��"_ �� PART PIC FEE � /G_�'7 y'� � � y �� F(� SEPA REVIEW GAS PIPING OK ��"��ate By /� WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES MECHANICAL PERMIT AMOUNTDUE Account No. 010-000-322-10-004 Total Fee $ Receipt No. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE � I � , > I J J Y m Z m ?ld. m O � � I o I, � �I' � � o ' W o I z , Q I � � o � � � , � ' U � Q z '' Z I ro ' \ m Q � � W U � � F w Q � o � o � o �/1 4 � il � i , � i j � � � � �� ; i o J ' �� ,�,,, �' � z I ! � � a 1 � m I '�� m �� o � � � � V z I ,� O i Y YI � � � ' � d W O I z Z � !� a -� a � , y O w w a � w � �_' � F- � �` o a � c.a� z � o - �; w � ! , I i i ! � � ,�I � i � � v i j �'I i w � c� � � � � i z � z � m m Q m a m O I ? ' ¢ ' � �i � = I w U �`, � � i � � a I � I � i O � 'v � U � Z I W J Sc � �� \ O t.' 'v�. a m : o , m w g W � W Q W n � H � � � Y � Z � � � V � t� 0 d 0 O � li � � R mit # �� ECEtV,�p ��r 21990 CITY OF FEDERAL WAY C��Q�F�DERq�, W�Y BUILDING RER�IIIT APPLICATION BV�L'��NG D,�� —P�ease Print— BOX 1 TENANT NAME: OWNER �.�C11'�C� �C.��iP_SC� SITE LOCATION ��C�a y �� :�� ' P�-• OWNER'S ADDRESS `' 7 • CITY ' 1 (.�' PHONE �1�2'] ' 9�c��C DESCRIBE JOB ` 1 -i " � THE PROPERTY IS OWNED BY: SING E/MARRIE PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �.t� CONTRACTOR'S REG. #�Ck��)f�-')1 13`�k-J ct S��j Card MUST be presented CONTRACTOR'S ADDRESS I r��l I (�IC�C� ' CITY TC�K�YY� PHONE �C �{ '� EXPIRATION DATE 1�'a �—�I — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON C PHONE ��` � BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER � (�� .� --G �� LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND F100R / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( SINGLE FAMILY ( )_NEW CONSTRUCTION ) MULTIFAMILY (N0. OF UNITS = ) � EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECH ICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET �I�' $ BATHTUBS NO.�FURNACE, ELEC. GAS� $ SHOWERS �GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTALFIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � p / r OWNER/AGENT: �� l�1.� DATE: � �C�,' � I � ��G ANP-008 3/90